Individual
PETER J VANGIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 POWDER MILL RD, YORK, PA 17402-3757
(717) 848-4800
(717) 741-9867
Mailing address
1855 POWDER MILL RD, YORK, PA 17402-4723
(717) 848-4800
(717) 741-9867
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD013543E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197900001
MEDICARE DME
—
05
—
654265
—
PA
Enumeration date
07/22/2005
Last updated
04/27/2011
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